AYC - Archdiocesan Youth Conference
July 29, 2022 - July 31, 2022

- Faith Formation
Contact Us
- Leanne Rodriguez
  
  Youth Minister
  
  713-729-3435 x422
  lrodriguezstmhouston.org

Registration is CLOSED.

Registration closed July 1st, 2022.

When: July 29th-31st, 2022

Where: Hilton of the Americas, Houston, TX

**Note: Please make to sure to register both on this website as well as the AYC registration website! See link and voucher code below.
AYC is a dynamic catechetical conference organized for all of the youth in the Archdiocese of Galveston-Houston! From Friday evening through Sunday afternoon, teens have the opportunity to celebrate their faith and learn more about what it means to be a Catholic teenager in today's world by worshipping together with hundreds of other teens from the Houston area.

During the weekend, teens have the opportunity to hear Catholic speakers from around the country, dive deeper in workshops, enjoy live music, worship in the Mass with Cardinal DiNardo, and more!!!
AYC Registration Summary:

To register for AYC please follow the link attached below to register through the Archdiocese. Please see the the voucher code as well. Once you have done this you may register on this website for the payment.

You are not considered fully registered until you have filled out both the Archdiocesan registration form and the one attached below!

All payments will be made out to St. Thomas More. Please contact Leanne Rodriguez at lrodriguez@stmhouston.org if you have any questions or to get more information on scholarships.
Archdiocesan Registration for AYC

Registration Website: https://archgh.cventevents.com/AYC2022

Registration Voucher Code: 7676STM2022
AYC Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
- Please put N/A in any box that cannot be completed but is required for submission.
- Parent/Guardian 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Other Phone Number Maximum 20 characters Please enter a phone number.
- Are you a registered parishioner? REQUIRED Please fill out this field.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Parent/Guardian 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Address Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Cell Phone Number Maximum 20 characters Please enter a phone number.
- Other Phone Number Maximum 20 characters Please enter a phone number.
- Are you a registered parishioner?
- Email Please enter an email address.
- Preferred Email for Correspondence REQUIRED Please fill out this field. Please enter an email address.
- Emergency Contact During Retreat
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter a date.
  
  Sex as indicated on birth certificate REQUIRED Please fill out this field.
  
  Grade Level in Fall REQUIRED Please fill out this field.
  
  T-Shirt Size (Adult)
  
  Do you have a St. Thomas More T-Shirt?
  
  Roommate Request? Please enter valid data.
  
  Teen Participation Agreement
  
  In checking the box below I agree to abide by any/all policies and rules established for this event. Should I not be able to maintain the guidelines and expectations of the adults and my peers, I understand that there will be consequences for my actions, including being removed from the activity and being sent home at my parent's expense.
  I Agree Please select this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter a date.
  
  Sex as indicated on birth certificate REQUIRED Please fill out this field.
  
  Grade Level in Fall REQUIRED Please fill out this field.
  
  T-Shirt Size (Adult)
  
  Do you have a St. Thomas More T-Shirt?
  
  Roommate Request? Please enter valid data.
  
  Teen Participation Agreement
  
  In checking the box below I agree to abide by any/all policies and rules established for this event. Should I not be able to maintain the guidelines and expectations of the adults and my peers, I understand that there will be consequences for my actions, including being removed from the activity and being sent home at my parent's expense.
  I Agree Please select this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter a date.
  
  Sex as indicated on birth certificate REQUIRED Please fill out this field.
  
  Grade Level in Fall REQUIRED Please fill out this field.
  
  T-Shirt Size (Adult)
  
  Do you have a St. Thomas More T-Shirt?
  
  Roommate Request? Please enter valid data.
  
  Teen Participation Agreement
  
  In checking the box below I agree to abide by any/all policies and rules established for this event. Should I not be able to maintain the guidelines and expectations of the adults and my peers, I understand that there will be consequences for my actions, including being removed from the activity and being sent home at my parent's expense.
  I Agree Please select this field.
- Who is allowed to drop off/pick up the child(ren) before and after the retreat?
- NOTE: If someone tries to pick up the child and is not on this list we will not release child to said person. We will notify you and ask for your permission before releasing the child to anyone not included on this list.
- I understand that if my child will be driving home without adult supervision St. Thomas More is not responsible for my child once the retreat has ended and my child has left the property.
  I Agree Please select this field.
- Medical Information:
- Doctor's Name REQUIRED Please fill out this field. Please enter valid data.
- Doctor's Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Insurance Name REQUIRED Please fill out this field. Please enter valid data.
- Insurance Group Number REQUIRED Please fill out this field. Please enter valid data.
- Insurance Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Parent/Guardian Electronic Signature REQUIRED Please fill out this field. Please enter valid data.
- Medical Consent:
- In the event of an emergency, I hereby give permission to the staff of St. Thomas More Catholic Church to seek emergency medical transport and/or treatment for my child(ren) named above. I will be responsible for all costs incurred. I wish to be advised before further care is given by the hospital or doctor.
  I Agree Please select this field.
- Please List All Medications/Allergies/Special Health Information Including Anxiety, Depression, or Other Needs
- Medications
  
  My child will bring all such medications, well labeled, that are necessary. Names of medications and concise diretions for seeing that the child takes such medications, including dosage and frequency are as follows:
- Medications, Dosage, and Instructions: REQUIRED Please fill out this field.
- Please Select One of the Following:
- I hereby grant permission for nonprescription medication (such as Tylenol, throat lozenges, cough syrup) to be administered to my child, if deemed advisable. I understand that Aspirin will not be given to my son/daughter. I grant permission
- I hereby do not grant permission for medication of any type, whether prescription or nonprescription to be administered to my child unless the situation is life-threatening and emergency treatment is required I do not grant permission
- Video/Photography Consent:
- As parent/guardian, I understand that promotional pictures and videos ( individual and group) may be taken during the classes and activities. I give permission for my child(ren)'s pictures (named above) to be used for church promotional materials such as newsletters, web pages, social media, calendars, Power Point presentations, or videos to promote or highlight activities throughout the weekend.
  I Agree Please select this field.
- Consent and Liability Waiver:
- In the event of any accident or injury, I agree on behalf of myself, my child(ren)'s other parent if known or living, the child(ren) named above or our heirs, successors, and assigns, to hold harmless and defend the Archdiocese of Galveston-Houston, its pastor or any representative of Faith Formation, unless the parties involved were careless and negligent. Effective for all Faith Formation activities at St. Thomas More.
  I Agree Please select this field.
- I grant permission for my information to be submitted to Flocknote so that the AYC Coordinator can communicate with me. I recognize that this is the primary mode through which information regarding all updates will be transmited.
  I Agree Please select this field.
- AYC220.0
- **NO REFUNDS**
- Your registration will not be complete untill you have paid in full. If you need financial assistance, you can reach the parish office at 713-729-0221.
Total:

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AYC - Archdiocesan Youth ConferenceJuly 29, 2022 - July 31, 2022

AYC - Archdiocesan Youth Conference
July 29, 2022 - July 31, 2022